Joseph Park, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

C52271 Issued in CA

Practice address

2727 W Olympic Blvd Ste 113
Los Angeles, CA 90006-2641

Phone

(310) 507-3681

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premierone Plus Cbas

  • Adult Day Care Clinic/Center
  • Anaheim, CA
  • NPI 1043006687
  NPD Authorized official
• Prime Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
  • NPI 1548045701
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1700568284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MUIRFIELD RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043731",
            "telephone_number": "310-507-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062641",
            "telephone_number": "310-507-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOSEPH",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "COA00648",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "C52271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joon Suk Park, M.D.
• Joon Woo Park, DMD
• Joon Y Park, PT
• Joong Y Park, MD
• Jooyeon Park
• Joy H. Park, PHARM.D.
• Ju Hea Park, ACSW
• Julie H. Park, MD
• Julie Myung Park
• Jun Hae Park, DDS, MS

• Prosthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.